| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,996.54 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,652.43 | $6,690.26 | $9,567.07 | |
Providence
| Facility | $1,652.43 | $6,690.26 | $9,567.07 |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,996.54 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,652.43 | $6,690.26 | $9,567.07 | |
Providence
| Facility | $1,652.43 | $6,690.26 | $9,567.07 |